Organization
ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
Active
Parent organization
ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
Authorized official
IMRAAN ANSAARIE (OWNER)
(386) 232-9203
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 302A, ST AUGUSTINE, FL 32080-3117
(386) 232-9203
(386) 222-3064
Mailing address
209 PINEHURST POINTE DR, SAINT AUGUSTINE, FL 32092-3703
(386) 232-9203
(386) 222-3064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME121178
STATE LICENSE
GA
Enumeration date
06/16/2020
Last updated
06/16/2020
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